Family Health Center Of Joshua Tree Incorporated | |
57445 29 Palms Hwy Ste 302 Yucca Valley CA 92284-2947 | |
(760) 366-7555 | |
(760) 366-0529 |
Full Name | Family Health Center Of Joshua Tree Incorporated |
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Speciality | Family Medicine |
Location | 57445 29 Palms Hwy Ste 302, Yucca Valley, California |
Authorized Official Name and Position | Andre Martin Kasko (PRESIDENT/CEO) |
Authorized Official Contact | 7603652800 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Family Health Center Of Joshua Tree Incorporated Po Box 1220 Joshua Tree CA 92252-0810 Ph: (760) 366-7555 | Family Health Center Of Joshua Tree Incorporated 57445 29 Palms Hwy Ste 302 Yucca Valley CA 92284-2947 Ph: (760) 366-7555 |
NPI Number | 1255511630 |
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Provider Enumeration Date | 11/14/2007 |
Last Update Date | 12/23/2024 |
Medicare PECOS PAC ID | 0648346007 |
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Medicare Enrollment ID | O20080909000133 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255511630 | NPI | - | NPPES |
200A6300 | Other | CA | LICENSE |
4630338 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207V00000X | Obstetrics & Gynecology | (* (Not Available)) | Secondary |
Omni Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7281 Dumosa Ave Ste 2, Yucca Valley, CA 92284 Phone: 760-365-2722 Fax: 760-365-5099 | |
Nowysz Regenerative Medicine Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 55887 Yucca Trl, Yucca Valley, CA 92284 Phone: 760-365-0804 | |
Erwin C Demiany Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 57463 29 Palms Hwy, Yucca Valley, CA 92284 Phone: 760-228-1856 Fax: 760-228-1897 | |
Yucca Valley Family Medical Associates, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 57463 29 Palms Hwy, Suite 203, Yucca Valley, CA 92284 Phone: 760-228-1855 Fax: 760-228-1897 |